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perioral dermatitis??

by kcy, Dec 12, 2008 05:36AM
Around my lips are red, sore, itchy and peeling.  I also have clear oozing in that same area.  It actually feels like water, but it crusts up when whatever I am using wears off.   It worsened especially after washing face where the area becomes tight and sore.
I have been experiencing this for about 2 months now.   I have been trying Vaseline and 1%hydrocortisone cream but not working at all. i suspect is perioral dermatitis so i stopped cortisone cream now and using only vaseline but no improvement seen.
Member Comments (1)

by BhumikaMD, Dec 12, 2008 08:16AM
Hi,

Perioral dermatitis, a condition related to acne vulgaris, consists of red papules that may appear microvesicular that typically affect the nasolabial folds, perioral area or perioccular area. It usually affects women between the ages of 20 and 45.

http://en.wikipedia.org/wiki/Perioral_dermatitis

It is commonly caused by the use of fluorinated topical glucocorticoid steroids to this area.

It is treated in a similar manner to acne vulgaris with tetracycline antibiotics or erythromycin but, without the use of topical steroids.

Recently, photodynamic therapy (PDT) has been reported to be helpful, although large studies have not yet been performed.

Roaccutane has been used in patients with severe perioral dermatitis with some benefit. Do consult with a dermatologist regularly.

Let us know if you need any other information.

Regards.
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